Organization
COASTAL BEND SPEECH CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANN GONZALES (SPEECH LANGUAGE PATHOLOGIST)
(361) 354-4387
Entity
Organization
Contact information
Practice address
401 N MONROE ST, BEEVILLE, TX 78102-4433
(361) 354-4387
Mailing address
4866 TAYLOR DR, BEEVILLE, TX 78102-8467
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
103784
TX
Other
Enumeration date
02/20/2009
Last updated
02/20/2009
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